NPIMap

Individual provider Active NPI

Atanacio Gomez, MD

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1114456449
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0073285 Issued in CO
Practice address
2819 35TH Ave
Greeley, CO 80634-9421
Phone
(970) 652-2801
Fax
(970) 652-2929
NPI assigned
Jun 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR0073285 CO Primary
Sports Medicine (Family Medicine) Physician 207QS0010X DR.0073285 CO

Addresses

Primary practice location

2819 35TH Ave
Greeley, CO 80634-9421

Mailing address

2819 35TH Ave
Greeley, CO 80634-9421
Phone (970) 652-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201016002681 TX Practitioner - Family Practice 8820367071 Reassigns benefits to 1 organization
I20240609000199 CO Practitioner - Family PracticePractitioner - Sports Medicine 8820367071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
San Juan Bautista School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2819 35TH Ave
Greeley, CO 80634-9421
Phone (970) 652-2801

Hospital & facility affiliations

  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR0073285COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, Inc. Family Medicine Current Accepting new patients
Trinity Family Practice & Urgent Care LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Primary Care Partners, Inc. Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Primary Care Partners, Inc. CurrentSince Jun 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

6100 Eastridge Rd
Odessa, TX 79762
Phone (432) 332-2080

6110 Eastridge Rd
Odessa, TX 79762
Phone (432) 272-1072

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18606/brand/1/csg/1/fhir/r4
  • Direct secure messaging: atanaciogomez@pcp.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1114456449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 35TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349421",
            "telephone_number": "970-652-2801",
            "fax_number": "970-652-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 35TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349421",
            "telephone_number": "970-652-2801",
            "fax_number": "970-652-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ATANACIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0073285",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR.0073285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.